Provider Demographics
NPI:1669141586
Name:SILVER, SCOTT B (LPC)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:B
Last Name:SILVER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:30555 SOUTHFIELD RD STE 175
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-7751
Mailing Address - Country:US
Mailing Address - Phone:248-225-7552
Mailing Address - Fax:888-400-0385
Practice Address - Street 1:30555 SOUTHFIELD RD STE 175
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-7751
Practice Address - Country:US
Practice Address - Phone:248-225-7552
Practice Address - Fax:888-400-0385
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIP249845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional